Healthcare Provider Details
I. General information
NPI: 1497357131
Provider Name (Legal Business Name): BRITTANY NICOLE ERICKSON AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/09/2020
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6949 GOOD SAMARITAN DR
CINCINNATI OH
45247-5204
US
IV. Provider business mailing address
1981 MADISON RD APT 3
CINCINNATI OH
45208-3296
US
V. Phone/Fax
- Phone: 513-429-4327
- Fax:
- Phone: 859-462-7481
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | A.02255 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: